Document Detail

Frozen shoulder syndrome associated with subpectoral defibrillator implantation.
MedLine Citation:
PMID:  10490482     Owner:  NLM     Status:  MEDLINE    
Pectoral implantation of transvenous non-thoracotomy internal cardioverter defibrillators (ICD) has resulted in very few complications whether placed subpectorally or subcutaneously. We report the case of a 68 year old man with a subpectorally implanted MINI-plus (Cardiac Pacemakers, Incorporated, St. Paul, Mn.) transvenous ICD who developed nearly instantaneous severe ipsilateral shoulder pain and immobilization. The symptoms progressed despite aggressive physical therapy. We elected to remove the device from the pectoral site and place it in a traditional abdominal position due to the severity, duration and refractoriness of his symptoms. This procedure utilized the chronic Endotak DSP (Model 0125, Cardiac Pacemakers, Incorporated) transvenous lead, a compatible Endotak DSP lead extender (Model 6952, Cardiac Pacemakers, Incorporated) and the above described ICD. Immediate relief of symptoms was accomplished by relocation of the device to an abdominal site. This intervention should be reserved for patients with severely debilitating symptoms. Prospective comparison of subpectoral and subcutaneous surgical approaches with respect to patient comfort and acceptance and complications may be warranted.
M C Burke; K Drinan; D E Kopp; J G Kall; R J Verdino; H Paydak; D J Wilber
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing     Volume:  3     ISSN:  1383-875X     ISO Abbreviation:  J Interv Card Electrophysiol     Publication Date:  1999 Oct 
Date Detail:
Created Date:  1999-12-02     Completed Date:  1999-12-02     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  9708966     Medline TA:  J Interv Card Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  253-6     Citation Subset:  IM    
Section of Cardiology, University of Chicago, Chicago, Illinois 60637, USA.
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MeSH Terms
Arthralgia / etiology*,  physiopathology,  rehabilitation
Defibrillators, Implantable / adverse effects*
Follow-Up Studies
Pectoralis Muscles
Physical Therapy Modalities
Range of Motion, Articular
Shoulder Joint*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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